NOA method – three dimensions in the governance of kidney transplantation
Autor(a) principal: | |
---|---|
Data de Publicação: | 2021 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10362/127070 |
Resumo: | Funding Information: We thank Professor Helder Trindade to promote the study and investigation, Dr. Jo?o Paulo Almeida Sousa for supporting the research, and ONT ? Organizaci?n Nacional de Trasplantes for data supplementation. The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. Publisher Copyright: © 2021 |
id |
RCAP_223746322661091969ab87890bb246ce |
---|---|
oai_identifier_str |
oai:run.unl.pt:10362/127070 |
network_acronym_str |
RCAP |
network_name_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository_id_str |
7160 |
spelling |
NOA method – three dimensions in the governance of kidney transplantationNeed-Opportunity-Accessibility, how to engage them?Need for transplantation responseNOA methodTransplantation accessibilityTransplantation governanceTransplantation needTransplantation opportunityTransplantation overall performanceTransplantation policy decisionTransplantation program evaluationClinical BiochemistryMedical Laboratory TechnologyFunding Information: We thank Professor Helder Trindade to promote the study and investigation, Dr. Jo?o Paulo Almeida Sousa for supporting the research, and ONT ? Organizaci?n Nacional de Trasplantes for data supplementation. The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. Publisher Copyright: © 2021Background: Despite all efforts, the demand for organs increases. New and better strategies are still needed, critical in a crisis like pandemics. Methodology: A mathematical approach that integrates need, Opportunity, and Accessibility to kidney transplantation, was created. NOA method, corresponds to the lateral surface area of a trigonal pyramid with the need, Opportunity, and Accessibility as axis, resulting in an intuitional chart output (NOA chart) and a percentage score (NOA score). Higher NOA scores are associated with larger NOA chart areas. Method Application: We found some natural variability among the European Member States regarding Need, Opportunity, and Accessibility to kidney transplantation, concomitant with NOA scores. In 2019, in the European Union, 129 patients pmp on the waiting list for a kidney transplant were registered, 47 kidneys pmp were procured, and 36 kidneys pmp were transplanted, corresponding to 25% of kidney transplantation's response capacity. Conclusion: Transplantation is frequently the better treatment for end-stage kidney failure. NOA method may be, in the future, an indicator for evaluating the overall transplantation performance regarding the need for it and a tool for policy definition. With NOA method we seek to contribute for: • A transplantation overall performance normalizing score; • Transplantation response capacity evaluation.NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)RUNSeverino, Paulo FilipeBolotinha, CatarinaPapoila, Ana LuísaBrás-Geraldes, CarlosDos Santos, AlexandrinaPalmeiro, Vanda Rute PatrícioFernandes, Ana PaulaFranca, Ana2021-11-03T05:03:14Z2021-012021-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10362/127070engPURE: 34467379https://doi.org/10.1016/j.mex.2021.101542info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T05:07:10Zoai:run.unl.pt:10362/127070Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:46:01.572007Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
NOA method – three dimensions in the governance of kidney transplantation Need-Opportunity-Accessibility, how to engage them? |
title |
NOA method – three dimensions in the governance of kidney transplantation |
spellingShingle |
NOA method – three dimensions in the governance of kidney transplantation Severino, Paulo Filipe Need for transplantation response NOA method Transplantation accessibility Transplantation governance Transplantation need Transplantation opportunity Transplantation overall performance Transplantation policy decision Transplantation program evaluation Clinical Biochemistry Medical Laboratory Technology |
title_short |
NOA method – three dimensions in the governance of kidney transplantation |
title_full |
NOA method – three dimensions in the governance of kidney transplantation |
title_fullStr |
NOA method – three dimensions in the governance of kidney transplantation |
title_full_unstemmed |
NOA method – three dimensions in the governance of kidney transplantation |
title_sort |
NOA method – three dimensions in the governance of kidney transplantation |
author |
Severino, Paulo Filipe |
author_facet |
Severino, Paulo Filipe Bolotinha, Catarina Papoila, Ana Luísa Brás-Geraldes, Carlos Dos Santos, Alexandrina Palmeiro, Vanda Rute Patrício Fernandes, Ana Paula Franca, Ana |
author_role |
author |
author2 |
Bolotinha, Catarina Papoila, Ana Luísa Brás-Geraldes, Carlos Dos Santos, Alexandrina Palmeiro, Vanda Rute Patrício Fernandes, Ana Paula Franca, Ana |
author2_role |
author author author author author author author |
dc.contributor.none.fl_str_mv |
NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM) RUN |
dc.contributor.author.fl_str_mv |
Severino, Paulo Filipe Bolotinha, Catarina Papoila, Ana Luísa Brás-Geraldes, Carlos Dos Santos, Alexandrina Palmeiro, Vanda Rute Patrício Fernandes, Ana Paula Franca, Ana |
dc.subject.por.fl_str_mv |
Need for transplantation response NOA method Transplantation accessibility Transplantation governance Transplantation need Transplantation opportunity Transplantation overall performance Transplantation policy decision Transplantation program evaluation Clinical Biochemistry Medical Laboratory Technology |
topic |
Need for transplantation response NOA method Transplantation accessibility Transplantation governance Transplantation need Transplantation opportunity Transplantation overall performance Transplantation policy decision Transplantation program evaluation Clinical Biochemistry Medical Laboratory Technology |
description |
Funding Information: We thank Professor Helder Trindade to promote the study and investigation, Dr. Jo?o Paulo Almeida Sousa for supporting the research, and ONT ? Organizaci?n Nacional de Trasplantes for data supplementation. The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. Publisher Copyright: © 2021 |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-11-03T05:03:14Z 2021-01 2021-01-01T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10362/127070 |
url |
http://hdl.handle.net/10362/127070 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
PURE: 34467379 https://doi.org/10.1016/j.mex.2021.101542 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
|
_version_ |
1799138064487940096 |